James Randy Bentley
Individual provider Active NPI Obstetrics & Gynecology Physician · Mobile, AL
NPI 1912935917 · NPPES record last updated Aug 10, 2010
Key facts
- NPI
- 1912935917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 9721 (AL)
- Practice address
- 3 Mobile Infirmary Cir
Ste 201
Mobile, AL 36607-3514 - Phone
- (251) 435-7900
- Fax
- (251) 435-6261
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9721 | AL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9721 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | 9721 | AL | Yes |
Addresses
Primary practice location
3 Mobile Infirmary Cir
Ste 201
Mobile, AL 36607-3514
Mailing address
3 Mobile Infirmary Cir
Ste 201
Mobile, AL 36607-3514
Phone (251) 435-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51009597 | Other | AL | MEDICARE |
| 05525700001 | Other | AL | CIGNA |
| 51009597 | Other | AL | BLUECROSS BLUESHIELD |
| 528902340 | Medicaid | AL |
Other providers in Mobile, AL
- April S Benson
- Regenia Benson
- David B Bentley
- Emily Sawyer Bentley
- Jack Bentley
- Baret Bercier
- Maria Berec
- Phillip C Berg
- Shauna Berg
- Harry David Berger
All providers in Mobile, AL · Obstetrics & Gynecology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.